Journal of Aging and Physical Activity最新文献

{"title":"Effects of Balance and Proprioceptive Training on Rehabilitation After Total Knee and Total Hip Replacement: A Systematic Review and Meta-Analysis.","authors":"Huiwu Qu, Qiyun Zhen, Haixia Li, Qiuping Jiang, Xiuhong Cao, Liyuan Zhang, Lumei Huang, Hongmei Dou","doi":"10.1123/japa.2024-0390","DOIUrl":"https://doi.org/10.1123/japa.2024-0390","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis aimed to compare the efficacy of balance or proprioceptive training and conventional training among older adults undergoing total hip and knee arthroplasty.</p><p><strong>Methods: </strong>We systematically searched PubMed, the Cochrane Library, Scopus, and Web of Science from study inception to March 8, 2025 to identify randomized controlled trials comparing the efficacy of balance or proprioceptive training with conventional training among older adults undergoing total hip and knee arthroplasty. The two methods of training were compared in terms of pain, function, and balance. We adopted a random-effects model (DerSimonian-Laird) to pool data.</p><p><strong>Results: </strong>Nineteen clinical trials with 579 individuals in the balance or proprioceptive training group and 556 individuals in the conventional training group were included in this meta-analysis. There were no significant differences between balance training and conventional training in terms of 10-min walk, average velocity, functional reach, single-leg standing, strength, timed up and go test, knee extension, knee flexion, Berg scale score, the Knee Injury and Osteoarthritis Outcome Score Activities of Daily Living subscale score, Knee Injury and Osteoarthritis Outcome Score pain score, Knee Injury and Osteoarthritis Outcome Score quality of life score, Western Ontario and McMaster Universities Arthritis Index (WOMAC) pain score, WOMAC physical function score, and WOMAC stiffness score. Compared with conventional training, balancing training only decreased the WOMAC total score (standardized mean difference: -0.60, 95% confidence interval [-0.95, -0.25], I2 = 39.15%) and path length (weighted mean difference: -20.84 mm, 95% confidence interval [-32.85, -8.83], I2 = 0.00%).</p><p><strong>Conclusion: </strong>Balance training is not superior to conventional training for the rehabilitation of older adults undergoing total hip or knee arthroplasty.</p><p><strong>Implications: </strong>Balance training should not be necessarily preferred over conventional training for the rehabilitation of patients undergoing total hip or knee arthroplasty.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stand When You Can: Feasibility of a Multilevel, Multisite Sedentary Behavior Intervention in Assisted-Living Residences.","authors":"Jennifer L Copeland, Milena Zdjelar, Danielle R Bouchard, Irmina Klicnik, Brianna Leadbetter, Shilpa Dogra","doi":"10.1123/japa.2024-0128","DOIUrl":"https://doi.org/10.1123/japa.2024-0128","url":null,"abstract":"<p><strong>Background/objectives: </strong>Prolonged sedentary time poses health risks for older adults, and residents in assisted living spend more time sedentary than peers who live independently. The purpose of this study was to examine the feasibility of Stand When You Can, a sedentary behavior intervention designed to encourage residents of assisted living to stand and move throughout the day without requiring structured program delivery or additional staff time.</p><p><strong>Methods: </strong>Five assisted-living residences in three provinces volunteered to use the Stand When You Can toolkit for 12 weeks. Feasibility outcomes included recruitment capability for ambassadors and participants, participant characteristics, and pre-post assessment of target outcome measures. Intervention fidelity was assessed at 6 weeks using on-site observations and informal interviews with staff and participants. Target outcomes included movement behaviors, physical function, and health status.</p><p><strong>Results: </strong>Sixty-eight older adults volunteered to participate, and a staff ambassador volunteered from each site. Only one site demonstrated good intervention fidelity by implementing a variety of different strategies to reduce sedentary time. Assessment of target outcomes was feasible, although there was significant attrition and >50% of individual participants did not complete follow-up testing at 12 weeks.</p><p><strong>Conclusion: </strong>While Stand When You Can was designed to be embedded in normal daily activities and require minimal staff time, it may not be feasible for most assisted-living residences to implement without additional staff.</p><p><strong>Significance: </strong>To help residents maintain function and quality of life, assisted-living residences must invest in adequate staff with the time and tools to promote a culture of movement.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Criteria of Sarcopenia and Their Associations With Functional Performance in Older Adults.","authors":"Mohammad Nikkhoo, Po-Hsiang Tsui, Carl P C Chen, Hung-Bin Chen, Chih-Hsiu Cheng","doi":"10.1123/japa.2024-0231","DOIUrl":"https://doi.org/10.1123/japa.2024-0231","url":null,"abstract":"<p><strong>Background/objectives: </strong>Sarcopenia, characterized by age-related muscle loss, impacts functional performance and mobility. This study compares sarcopenia prevalence and physical fitness outcomes among older adults using four criteria from European and Asian Working Groups.</p><p><strong>Methods: </strong>A total of 377 community-dwelling older adults all of Taiwanese ethnicity, were recruited for this study. They completed seven functional assessment tests. Descriptive statistics and various tests were used to compare variables between older adults with and without sarcopenia. Correlation and logistic regression analyses, along with the area under the curve, were performed to evaluate relationships between sarcopenia criteria and functional assessments, as well as the impact of functional performance on sarcopenia classification. Statistical significance was set at p < .05.</p><p><strong>Results: </strong>The prevalence of sarcopenia varied with different criteria: European Working Group on Sarcopenia in Older People (EWGSOP)-2 (3.7%), EWGSOP-1 (39.0%), Asian Working Group for Sarcopenia (AWGS)-2 (11.1%), and AWGS-1 (6.6%). The study found generally low but statistically significant correlations between functional tests and sarcopenia factors. The receiver operating characteristic analysis results indicated that the functional test set by logistic regression model achieved an area under the curve of 0.787 under EWGSOP-2, 0.686 under EWGSOP-1, 0.728 under AWGS-2, and 0.751 under AWGS-1. Patients with sarcopenia consistently performed worse in functional tests, and area under the curve values indicated the effectiveness of functional tests in distinguishing sarcopenia.</p><p><strong>Conclusion: </strong>This study highlights the variability in sarcopenia prevalence and functional implications among older adults using different European and Asian criteria, emphasizing the importance of context-driven diagnostic criteria. Significance/Implications: The findings of this study can highlight the need for selecting appropriate sarcopenia criteria to enhance screening accuracy, functional assessment, and targeted interventions for older adults in clinical practice.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Recreational Rhythmic Gymnastics' Training Programs on Older Women's Manual Dexterity: A Randomized Trial.","authors":"Dimitra Moscha, Evgenia Giannitsopoulou, Afroditi Lola, George Tzetzis, Vasiliki Zisi","doi":"10.1123/japa.2024-0309","DOIUrl":"https://doi.org/10.1123/japa.2024-0309","url":null,"abstract":"<p><strong>Background/objective: </strong>Manual dexterity is critical for maintaining functional independence and quality of life in older adults, yet limited research has explored training interventions to enhance this skill. This study examined the effect of rhythmic gymnastics (RG) exercise programs, with and without apparatus, on the manual dexterity of older women.</p><p><strong>Methods: </strong>Seventy-six women, aged over 65 (68.47 ± 3.34), without serious health or mobility issues, and no prior RG experience, were randomly assigned to two experimental and one control group. Each experimental group followed a 12-week intervention program (three sessions/week, 1 hr each). The first group (A) followed an RG program with the use of sport's apparatus and the second one (B) an RG exercise program using only body movements, without any apparatus. The control group (C) followed their typical everyday schedule. Manual dexterity was assessed three times (before the intervention, immediately after, and 20 weeks later for retention) using the Pegboard and Box and Blocks Tests.</p><p><strong>Results: </strong>Group A showed a significant improvement in manual dexterity from pre to postintervention, with performance maintained at the retention test. Group B and the control group did not exhibit significant improvements across all measures.</p><p><strong>Conclusion: </strong>The RG program with apparatus significantly improved manual dexterity in older women and maintained these improvements over time. Significance/Implications: RG programs with apparatus can enhance manual dexterity in older women and, in turn, promote functional independence in older adults, supporting its inclusion in exercise programs for this population. Future studies should also include male participants and frail populations.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Long-Term Adherence in an Ongoing, Supervised, Gym-Based Exercise Program Among Adults With Chronic Conditions in Regional Australia.","authors":"Paul Jansons, Karena Coller, Lisa O'Brien, Katrina Nightingale, David Scott, Eliane Coller, Linda Barclay","doi":"10.1123/japa.2024-0225","DOIUrl":"https://doi.org/10.1123/japa.2024-0225","url":null,"abstract":"<p><strong>Background/objective: </strong>Adherence rates to supervised gym-based exercise programs traditionally decline over time, highlighting the need to understand participants' perceptions regarding barriers and facilitators to long-term participation. To explore the experiences of people with one or more chronic conditions participating in an ongoing, supervised, gym-based exercise program in regional Australia.</p><p><strong>Method: </strong>Semistructured interviews were completed with 40 participants and were analyzed thematically using a descriptive qualitative approach.</p><p><strong>Results: </strong>Forty participants were stratified by age (over and under 65 years) and exercise frequency (regular vs. irregular) with 10 in each classification group. Five themes were identified that appeared to explain adherence: (1) A safe space for oneself, (2) Role modeling and social networking, (3) Seeing the value in exercise, (4) Accredited exercise physiologist support, and (5) Prioritizing exercise ahead of family responsibilities. Many participants over 65 years described the ways that the exercise program had positive benefits for arresting age-related decline in their day-to-day function, whereas participants under 65 years reported positive mental and physical benefits such as feeling happier, getting stronger, and having a more positive outlook on life.</p><p><strong>Conclusion: </strong>Successful long-term adherence was facilitated by accredited exercise physiologists who invested time in establishing shared goals with participants and maintained regular, quality interactions. This professional support created accountability and enabled progressive program modification based on individual needs and progress. Professionals should focus on these to build effective therapeutic relationships in gyms-based exercise programs. Having a space for oneself and peer motivation enable participation, while role and family commitments can hinder it. Significance/Implications: Findings highlight specific strategies for exercise professionals to enhance long-term program adherence: building strong therapeutic relationships through regular support and individualized attention, creating safe and supportive exercise environments, and implementing flexible scheduling to accommodate family commitments. The identified role of peer support and professional supervision provides a framework for designing sustainable exercise programs in regional community settings. Exercise physiologists should focus on fostering these elements while addressing practical barriers to participation. This study received ethical clearance from The Monash Health Medical Research Ethics Committee; Number: 58571.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-11"},"PeriodicalIF":1.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-Related Changes in Dynamic Balance Ability in the Stepping Test and Force-Generating Capacity of the Lower Limb Muscles.","authors":"Yusuke Oyama, Chisa Watanabe, Keiji Koyama","doi":"10.1123/japa.2024-0238","DOIUrl":"https://doi.org/10.1123/japa.2024-0238","url":null,"abstract":"<p><strong>Background: </strong>This study examined the relationship between two abilities in terms of age-related changes, namely, the dynamic balance ability and the force-generating capacity of the three lower limb joints.</p><p><strong>Methods: </strong>A group of 149 middle-aged to older adults (38 men and 111 women aged 74.1 ± 11.6 years) had their dynamic balance ability and the force-generating capacity of their three lower limb joints measured in the stepping test and the chair sit-to-stand test, respectively. The number of steps, the double-leg support time, and the single-leg support time were evaluated to show dynamic balance ability in the step test. The peak reaction force per body weight (F/w) and rate of force development were evaluated for the force-generating capacity of the three lower limb joints.</p><p><strong>Results: </strong>The results showed that none of the parameters of dynamic balance ability in the stepping test had any age-related changes, but F/w and rate of force development showed age-related changes, decreasing with age.</p><p><strong>Conclusion: </strong>No association was seen between dynamic balance ability in the stepping test and the force-generating capacity of three lower limb joints.</p><p><strong>Significance: </strong>Age-related changes in dynamic balance do not correspond to changes in muscle strength, suggesting that evaluating dynamic balance ability solely through the stepping test at a self-selected speed may be challenging.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Self-Management Strategies for Reducing Sedentary Behavior Combined With Multicomponent Training Improve the Body Composition of Older Adults? A Randomized Controlled Clinical Trial.","authors":"Stefany Lee, Patricia Rehder Santos, Gabriela Cassemiliano, Vinícius Ramon da Silva Santos, Laura Bonome Message, Tainara Rodrigues Dos Santos, Ana Claudia Silva Farche, Paulo Giusti Rossi, Juliana Hotta Ansai, Eduardo Ferriolli, Natália Duarte Pereira, Guillermo Rúben Oviedo, Myriam Guerra-Balic, Maria Giné-Garriga, Anielle Cristhine de Medeiros Takahashi","doi":"10.1123/japa.2024-0349","DOIUrl":"https://doi.org/10.1123/japa.2024-0349","url":null,"abstract":"<p><strong>Background: </strong>Body composition changes during the aging process leads to an increase in fat mass and a decline in lean mass. Physical exercise can cause changes in body composition, but it is unclear whether reducing sedentary behavior (SB) also produces positive effects.</p><p><strong>Objective: </strong>To assess whether adopting self-management strategies (SMS) to reduce SB along with multicomponent training (MT) compared with a MT alone can improve the body composition of older adults who were physically active before the pandemic.</p><p><strong>Methods: </strong>A single-blind, randomized, controlled clinical trial was performed. Forty-five older adults (73.6 ± 6.3 years, 73.3% females) were divided into two groups: MT, who only performed exercise, and MT + SMS group, who performed exercise along with SMS to reduce SB. MT included aerobic, resistance, balance and flexibility components three times a week, for a duration of 50 min/session. The SMS consisted of goals and weekly telephone follow-up calls for 16 weeks. Body composition was assessed by dual-energy X-ray absorptiometry and the time spent in SB using the ActivPAL3 accelerometer. A generalized mixed linear model was performed in the software JAMOVI.</p><p><strong>Results: </strong>Both groups reduced time in SB (p < .001), increased lean mass index (p = .038), and reduced the fat mass index (p < .001) and fat mass percentage (p < .001).</p><p><strong>Conclusion: </strong>Implementing MT for older adults with characteristics similar to our study population may be sufficient to reduce SB and enhance body composition, as well as increase lean mass index, and decrease fat mass index. However, SMS to reduce SB did not potentiate the effects of MT on the body composition of older adults. Significance/Implications: Older adults can benefit from regular physical exercise.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Multicomponent Training on Metabolic and Functional Health of Older Women With Obesity: A Randomized Clinical Trial.","authors":"Sofia Germano Travieso, Gabriela Ueta Ortiz, Gabriela Ferreira Abud, Marina Mello Villalba, Gizela Pedroso Junqueira, Matheus Machado Gomes, Julio Sergio Marchini, Ellen Cristini Freitas","doi":"10.1123/japa.2024-0341","DOIUrl":"https://doi.org/10.1123/japa.2024-0341","url":null,"abstract":"<p><strong>Introduction: </strong>The aging global population demands strategies to mitigate inflammation and anabolic resistance impacting older adults' quality of life. This randomized controlled trial examined the effects of multicomponent training on obese older women to enhance muscle health and functionality.</p><p><strong>Objectives: </strong>To assess the effects of a 12-week multicomponent training program on physical and functional capacities, body composition, metabolic health, and whole body muscle quality.</p><p><strong>Methods: </strong>Twenty-six older women (body mass index: >30 kg/m2) were randomized into an exercise (n = 13) or control group (n = 13). Exercise group participated in 12 weeks of supervised multicomponent training. Outcomes assessed pre- and postintervention including functional and physical capacities, body composition, waist circumference, lower limb muscle ultrasound, lipid profile, blood glucose, glucose tolerance, inflammatory cytokines, and type III procollagen peptide protein. Assessments were conducted blind to group allocation. Data were analyzed using R software.</p><p><strong>Results: </strong>Exercise group showed significant reductions in body fat percentage (Hedges' g: -0.14) and enhanced functional performance (sit-to-stand test: Hedges' g: 1.21). Improvements in cardiometabolic health and inflammatory profiles were observed, reducing morbidity risk. Correlations between inflammatory markers, body composition, and functional outcomes suggested a nonlinear cytokine response.</p><p><strong>Conclusion: </strong>Multicomponent training effectively improved body composition and functional capacity in obese older women, with potential benefits for inflammatory and metabolic health.</p><p><strong>Significance: </strong>These results underscore the importance of integrating exercise with dietary strategies to optimize outcomes.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov NCT05552677.</p><p><strong>Funding: </strong>Supported by FAPESP/2022/15078-4 and CnPq 303766/2022-0.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unique Opportunity and Motivational Targets for Exercise Behavior Change Among Nonfrail, Prefrail, and Frail Older Adults.","authors":"Laura E Finch, Sylvia C Brown, Corliss Taylor, Benjamin Mendez, Samantha M Sawicki, Alan Gonzolez, M Lucia Madariaga, Daniel S Rubin, Nabiel A Mir, Lauren J Gleason, Margaret K Danilovich, David E Conroy, Megan J Huisingh-Scheetz","doi":"10.1123/japa.2024-0196","DOIUrl":"10.1123/japa.2024-0196","url":null,"abstract":"<p><strong>Introduction: </strong>Exercise is the most effective frailty mitigation intervention studied to date, yet frail older adults may face unique hurdles to exercise behavior change.</p><p><strong>Objective: </strong>Our objective was to compare perceived opportunities and motivation for physical activity among subgroups with varying physical capability to inform frailty intervention development.</p><p><strong>Methods: </strong>We analyzed cross-sectional survey data from n = 101 community-dwelling, older adults (n = 30 nonfrail, n = 59 prefrail, n = 12 frail; 93% African-American). Measures were organized by the Capability, Opportunity, Motivation-Behavior change framework. The capability factor included the frailty phenotype (nonfrail, prefrail, or frail). \"Opportunity\" factors included: barrier and resource identification, local program awareness, the Exercise Barriers Subscale, and exercise preferences. \"Motivation\" factors, included the Self-Rated Abilities for Health Practices Exercise Subscale; perceived exercise need, benefits, and harms; the Outcome Expectations for Exercise Scale; and personal health goals. Kruskal-Wallis and chi-square tests identified between-group quantitative differences. Open-ended survey responses were evaluated qualitatively for themes.</p><p><strong>Results: </strong>Frail adults had worse Exercise Barriers Subscale scores (p = .005); reported more barriers and fewer resources; were less aware of local exercise facilities; and had a narrower scope of exercise preferences. Frail adults also had worse Self-Rated Abilities for Health Practices Exercise Subscale scores (p = .004); were more likely to indicate they needed exercise; perceived more psychological exercise benefits than physical; but had worse Outcome Expectations for Exercise Scale scores (p < .001). One-year health goal themes were similar among frailty groups, with the majority identifying functional goals. Conclusion and Significance/Implications: This study identified opportunity and motivation factors unique to frail adults that could inform behavior change discussions and interventions in frail adults.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-13"},"PeriodicalIF":1.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cocreated Intergenerational Intervention to Promote Co-Physical Activity in Grandparents and Their Grandchildren: \"Ages Get Active\"-Development, Insights, and Future Directions.","authors":"Evelien Iliano, Greet Cardon, Julie Latomme","doi":"10.1123/japa.2024-0257","DOIUrl":"https://doi.org/10.1123/japa.2024-0257","url":null,"abstract":"<p><p>Intergenerational physical activity programs hold promise for increasing (co-)physical activity in children and older adults. Many programs, however, lack effectiveness, potentially due to insufficient evidence-based development and limited addressing of both groups' needs, which could result in a lack of fit. Co-creation and tailored approaches could improve program fit and effectiveness. This study details the co-creation of an intergenerational physical activity program, \"Ages Get Active.\" A co-creation approach was adopted with the Behavior Change Wheel as the guiding theoretical framework for the co-creation process. Six grandchildren (five girls; mean age 6.8) and four grandparents (three females; mean age: 63.5) participated in six co-creation sessions, based on the Behavior Change Wheel; eight academic experts and a stakeholder gave input on the results of the co-creation sessions; and 99 grandparents (68 females; mean age 67.0) provided input on barriers, motivators, and mode of delivery to ensure generalizability of the findings. Participants were recruited via schools and social media (Facebook) using flyers. Structured coding was applied to the data of the co-creation sessions to detect themes and patterns, which were categorized according to predefined criteria (e.g., barriers, motivators, content, program, etc.). Descriptive statistics (means, percentages, and frequencies) from the online survey, combined with input from experts, informed the further development of the intervention. The final intervention program comprised four key components: (1) an educational component; (2) eight group-based physical activity sessions; (3) home-based physical activities; and (4) promoting community-based events in the neighborhood. This approach can enhance (co-)physical activity in children and older adults, offering a model for future researchers.</p>","PeriodicalId":51073,"journal":{"name":"Journal of Aging and Physical Activity","volume":" ","pages":"1-25"},"PeriodicalIF":1.5,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}